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目的浅析国内7所医学院校附属医院2010~2014年5年间正常和异常妊娠数,为临床诊疗、管理和决策提供支持。方法从7所医院病案室和门诊人工流产室收集资料,进行回顾性分析。结果 7所医学院校正常和异常妊娠数为359 592例,总分娩数占46.77%(168 192/359 592),其中剖宫产率为58.46%(98 331/168 192);人工流产、药物流产和中期妊娠引产占39.66%(142 607/359 592);各种病理流产占6.08%(21 861/359 592);各种异位妊娠占6.11%(21 982/359 592)[其中剖宫产瘢痕妊娠(cesarean scar pregnancy,CSP)占总异位妊娠数的10.58%];妊娠滋养细胞疾病和肿瘤占1.38%(4 950/359 592)。结论7所医院剖宫产率仍高,CSP发病率甚高,妊娠滋养细胞疾病和肿瘤发病率降低。
Objective To analyze the number of normal and abnormal pregnancies in the five hospitals of seven medical colleges and universities in China from 2010 to 2014, and provide support for clinical diagnosis and treatment, management and decision-making. Methods Data were collected from 7 hospital medical records and outpatient abortion rooms for retrospective analysis. Results The number of normal and abnormal pregnancies in 7 medical schools was 359 592 and the total number of deliveries was 46.77% (168 192/359 592). The rate of cesarean section was 58.46% (98 331/168 192). Induced abortion, drugs Miscarriage and miscarriage accounted for 39.66% (142 607/359 592); all kinds of pathological abortion accounted for 6.08% (21661/359 592); various ectopic pregnancies accounted for 6.11% (21 982/359 592) Cesarean scar pregnancy (CSP) accounted for 10.58% of the total ectopic pregnancy); gestational trophoblastic diseases and tumors accounted for 1.38% (4 950/359 592). Conclusions The cesarean section rate in 7 hospitals is still high, the incidence of CSP is very high, gestational trophoblastic diseases and the incidence of cancer are reduced.